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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 26, 2024 3:50 AM CST
Next Update: Thursday, December 26, 2024 12:00 PM CST

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HENRY, MILLARD LAFAYETTE III       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 1800 W 1ST STREET #106
ELK CITY OK 73644

Address last updated on 5/20/2024
Phone #: (580) 339-7550
Fax #: (580) 339-7541
County: BECKHAM
License: 32424
Dated: 7/1/2017
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Urology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2016
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF UROLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Great Plains Regional Medical Center
Elk City, OK
Locations: Hours: Languages:
1800 W 1ST STREET #106
ELK CITY OK 73644

Phone #: (580) 339-7550
Fax #: (580) 339-7541
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:

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